The Effect of Graded Motor Imagery Training on Pain, Functional Performance, Motor Imagery Skill, and Kinesiophobia After Total Knee Arthroplasty.
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 18
- 试验地点
- 1
- 主要终点
- Pain intensity
研究概览
简要总结
This study was planned to investigate the long-term effectiveness of the early application of graded motor imagery therapy on pain parameters, functional performance, motor imagery skill, and kinesiophobia in individuals who underwent total knee arthroplasty surgery after knee osteoarthritis.
详细描述
Participants aged 45-80 who are scheduled for total knee arthroplasty surgery after knee osteoarthritis will be included. Participants will be selected from the relevant population using a nonprobability random sampling method. Participants who agree to participate in the study and meet the inclusion criteria will be assigned to one of the groups (conventional rehabilitation-only or conventional rehabilitation with graded motor imagery) using the closed envelope method. Evaluations will be made one day before surgery, 6 weeks and 6 months after surgery for each group. Pain Visual Analog Scale; pressure pain threshold algometer; central sensitization Central Sensitization Inventory; the joint range of motion goniometer; muscle strength handheld dynamometer; kinesiophobia Tampa Kinesiophobia Scale; functional mobility and mental stopwatch Timed get up and go test; choice task Recognise™ application; motor imagery skill Movement Imagery Questionnaire-3; functional assessment Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC); The catastrophic degree of pain is planned to be evaluated with the Pain Catastrophizing Scale.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 45 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosed with knee osteoarthritis and being on the waiting list to receive unilateral total knee arthroplasty
- •Approved by the orthopedist for early physiotherapy treatment after total knee arthroplasty
排除标准
- •- Individuals undergoing revision total knee arthroplasty or undergoing bilateral total knee arthroplasty,
- •Contralateral knee osteoarthritis (defined by activity greater than 4/10 pain)
- •Having undergone any physical therapy intervention or other surgery in the last 6 months
- •Any neurological, cardiac, pulmonary or psychiatric disease (eg, uncontrolled diabetes mellitus, neoplasms, uncontrolled blood pressure, neurological conditions) before or after surgery;
- •Fracture, infection in the acute postoperative phase or presence of fever
- •Cognitive impairments that alter the probability of correct understanding of the motor imagery program
- •Body mass index > 35 kg / m2
- •Difficulties with understanding or communication
- •Insufficient knowledge of Turkish to follow the study instructions.
研究组 & 干预措施
Graded Motor Imagery
Individuals will receive standard rehabilitation and graded motor imagery treatment.
干预措施: Graded Motor Imagery (Other)
Graded Motor Imagery
Individuals will receive standard rehabilitation and graded motor imagery treatment.
干预措施: Standard Rehabilitation (Other)
Standard Rehabilitation Group
Standard rehabilitation will be applied.
干预措施: Standard Rehabilitation (Other)
结局指标
主要结局
Pain intensity
时间窗: 6 months after surgery
Pain at rest and during activity will be evaluated with the help of the Visual Analogue Scale (VAS). The VAS is a 10 cm scale that rates 0 points as "no pain" and 10 points as "worst pain imaginable".
WOMAC
时间窗: 6 months after surgery
Functional status will be assessed by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). It consists of three subgroups as pain (5 items), stiffness (2 items) and physical function (17 items) and a total of 24 items. Each item has an evaluation score of 0 = none, 1 = mild, 2 = moderate, 3 = severe, 4 = very severe.
Pain intensity
时间窗: Baseline
Pain at rest and during activity will be evaluated with the help of the Visual Analogue Scale (VAS). The VAS is a 10 cm scale that rates 0 points as "no pain" and 10 points as "worst pain imaginable".
Pain intensity
时间窗: 6 weeks after surgery
Pain at rest and during activity will be evaluated with the help of the Visual Analogue Scale (VAS). The VAS is a 10 cm scale that rates 0 points as "no pain" and 10 points as "worst pain imaginable".
WOMAC
时间窗: Baseline
Functional status will be assessed by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). It consists of three subgroups as pain (5 items), stiffness (2 items) and physical function (17 items) and a total of 24 items. Each item has an evaluation score of 0 = none, 1 = mild, 2 = moderate, 3 = severe, 4 = very severe.
WOMAC
时间窗: 6 weeks after surgery
Functional status will be assessed by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). It consists of three subgroups as pain (5 items), stiffness (2 items) and physical function (17 items) and a total of 24 items. Each item has an evaluation score of 0 = none, 1 = mild, 2 = moderate, 3 = severe, 4 = very severe.
次要结局
- Pressure pain threshold(6 months after surgery)
- Central sensitization(6 months after surgery)
- Joint Range of Motion(6 months after surgery)
- Quadriceps muscle strength(6 months after surgery)
- Kinesiophobia(6 months after surgery)
- Functional mobility(6 months after surgery)
- Mental chronometry delta time(6 months after surgery)
- Laterality task(6 months after surgery)
- Movement Imagery Questionnaire-3 (MIQ-3)(6 months after surgery)
- Pain Catastrophizing Scale(6 months after surgery)
- Pressure pain threshold(Baseline)
- Pressure pain threshold(6 weeks after surgery)
- Central sensitization(Baseline)
- Central sensitization(6 weeks after surgery)
- Joint Range of Motion(Baseline)
- Joint Range of Motion(6 weeks after surgery)
- Quadriceps muscle strength(Baseline)
- Quadriceps muscle strength(6 weeks after surgery)
- Kinesiophobia(Baseline)
- Kinesiophobia(6 weeks after surgery)
- Functional mobility(Baseline)
- Functional mobility(6 weeks after surgery)
- Mental chronometry delta time(Baseline)
- Mental chronometry delta time(6 weeks after surgery)
- Laterality task(Baseline)
- Laterality task(6 weeks after surgery)
- Movement Imagery Questionnaire-3 (MIQ-3)(Baseline)
- Movement Imagery Questionnaire-3 (MIQ-3)(6 weeks after surgery)
- Pain Catastrophizing Scale(Baseline)
- Pain Catastrophizing Scale(6 weeks after surgery)
研究者
Burcu Talu
Associate professor
Inonu University